Healthcare Provider Details

I. General information

NPI: 1972517555
Provider Name (Legal Business Name): JOSEPH J MELI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 W MARKET ST SUITE 200
FAIRLAWN OH
44333-4540
US

IV. Provider business mailing address

3600 W MARKET ST SUITE 200
FAIRLAWN OH
44333-4540
US

V. Phone/Fax

Practice location:
  • Phone: 330-666-2700
  • Fax: 330-666-0500
Mailing address:
  • Phone: 330-666-2700
  • Fax: 330-666-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35037941
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: